Beruflich Dokumente
Kultur Dokumente
Spinal Cord
Dr Shahid Nawaz
SR Medical Unit 2
Nishtar Hospital Multan
Learning Objectives
PNS
Remainder of nervous tissue
Filum terminale
Conus medularis
Spinal nerves extend off cord
Mixed nerves
Spinal meninges
Provide physical stability and shock
absorption
Three layers
Dura mater
Arachnoid
Pia mater
Dura mater
Arachnoid
Interior to dura mater are the
subdural space, the arachnoid and
the subarachnoid space
Subarachnoid space contains CSF
Pia mater
Meshwork of elastin and collagen
fibers
Innermost meningeal layer
Denticulate ligaments extend from
pia mater to dura mater
White matter
Divided into six columns (funiculi) containing
tracts
Ascending tracts relay information from the
spinal cord to the brain
Descending tracts carry information from the
brain to the spinal cord
A Peripheral Nerve
Spinal nerves
White ramus (myelinated axons)
Gray ramus (unmyelinated axons that innervate glands and
smooth muscle)
Dorsal ramus (sensory and motor innervation to the skin and
muscles of the back)
Ventral ramus (supplying ventrolateral body surface, body
wall and limbs)
Each pair of nerves monitors one dermatome
Dermatomes
Nerve plexus
Complex interwoven network of nerves
Four large plexuses
Cervical plexus
Brachial plexus
Lumbar plexus
Sacral plexus
Motor neurons
Distribute commands to peripheral
effectors
Interneurons
Interpret information and coordinate
responses
Neuronal pools
Functional group of interconnected
neurons
Neural circuit patterns
Divergence
Convergence
Serial processing
Parallel processing
Reverberation
The Organization of
Neuronal Pools
An introduction to reflexes
Reflex arc
Wiring of a neural reflex
Five steps
Arrival of stimulus and activation of
receptor
Activation of sensory neuron
Information processing
Activation of motor neuron
Response by effector
Reflex classification
According to
development
Site of information processing
Nature of resulting motor response
Complexity of neural circuit
Methods of Classifying
Reflexes
reflex classifications
Innate reflexes
Result from connections that form
between neurons during development
Acquired reflexes
Learned, and typically more complex
Spinal reflexes
Interconnections and processing events
occur in the spinal cord
Polysynaptic reflex
At least one interneuron between sensory
afferent and motor efferent
Longer delay between stimulus and
response
Spinal Reflexes
Range from simple monosynaptic to
complex polysynaptic and
intersegmental
Many segments interact to form complex
response
Monosynaptic Reflexes
Stretch reflex automatically monitors
skeletal muscle length and tone
Patellar (knee jerk) reflex
Intrafusal Fibers
Polysynaptic reflexes
Produce more complicated responses
Tendon reflex
Withdrawal reflexes
Flexor reflex
Crossed extensor reflex
Polysynaptic reflexes
Reinforcement and
inhibition
Reinforcement = facilitation that
enhances spinal reflexes
Spinal reflexes can also be inhibited
Babinski reflex replaced by planter reflex